Nursing HomeInspections

Mitchell Care Center

Nursing home in Mitchell, NE

Medicare & Medicaid certified3★ overall (CMS)

Call (308) 623-1212Send a messageMap ↗

Public-record details

Address
1723 23rd Street, Mitchell, NE 69357
Phone
(308) 623-1212
Listed under
Government-owned, No fines in 3 years
Medicare CCN
285287
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
50
Average residents per day
46
Ownership
Government, city/county
Legal business name
City of Mitchell
Chain
Rural Health Development (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 1, 2014
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 285287. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 10, 2025. CMS lists 19 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 26, 2023 to Sep 10, 2025): 5 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 10, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		C
Potential for minimal harm, widespread
Sep 10, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 10, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 17, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 17, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 17, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 13, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 13, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 13, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 13, 2024Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Aug 13, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Aug 13, 2024Have enough outside ventilation via a window or mechanical ventilation, or both.
Environmental		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 19. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.81 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
2.45 hours
Total nurse staffing on weekends
3.13 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
60%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.